JILLIAN LAURA MUDRY – Nurse Practitioner, NPI 1932653854
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,273 NURSE PRACTITIONER in DE
Provider Addresses for JILLIAN LAURA MUDRY
96 ATLANTIC AVE STE 103
OCEAN VIEW, DE 199709103
Phone: (302) 402-3015
Type: Mailing
34703 STARBOARD CT
DAGSBORO, DE 199393338
Phone: (302) 670-5525
Type: Mailing
Beebe Medical Center, 424, Savannah Road, Highland Acres, Lewes, Sussex County, Delaware, 19958, United States
LEWES, DE 199581462
Phone: (302) 645-3300
Type: Location
33 DAISEY AVE
OCEAN VIEW, DE 199709130
Phone: (302) 670-5525
Type: Mailing
28539 DUPONT BLVD
MILLSBORO, DE 199664798
Phone: (302) 648-2099
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 70 Open Payments records for all available years, with a total value of $1,340.
Total Amount is formed as General ($1,340) + Research ($0) + Ownership ($0) = $1,340.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Novo Nordisk Inc ($287).
Total Amount
$1,340
General + Research + Ownership
Payments
70
Total payment records
General Amount
$1,340
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $287 |
| AstraZeneca Pharmaceuticals LP | $140 |
| Lilly USA, LLC | $104 |
| PFIZER INC. | $74 |
| GlaxoSmithKline, LLC. | $74 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-10-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211012000405 | I | Nurse Practitioner | DE | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 117 | 93 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 71 | 51 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 62 | 62 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 27 | 24 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 25 | 25 | $0 |
Insurance plans in this area (ZIP 19970)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | MD |
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